HomeMy WebLinkAboutPermit Plumbing 2003-10-14SPRIN
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-01042ISSUED: 1011412003
APPLIEDz 1011412003EXPIRES: 0411412004
VALUE:
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SITE ADDRESS: 1325 7TH ST
ASSESSOR'S PARCEL NO.: 1703264308700
PROJECT DESCRIPTION: Replace 80 ft sanitary sewer line
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New Residential
Owner:
Address:
AUDREY CHURCHILL
1243 OLYMPIC ST SPRINGFIELD OR 97477
PhoneNumber: 541-736-1285
Contractor Type
Plumbing
Contractor
JEFFRY W PLUMMER
Expiration Date
03t29t2005
Phone
541-741-2041
License
101850
CONTRACTOR INFORMATION
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Path:
5$
N
#Trees Rqd:
Paved Drive Rqd:
Yo ofLot Coverage:
\t
Square Footage
or Bid Amount
Lot Size:
Sq Ft 1st Floor:
2nd Floor:
Basement:
Garage/Carport
Other:
Impervious Surface Area:
R-3
VN
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
law r
REQUIRED PARKING
Total:
Handicapped:
Compact:
equlresy outo
$ Per Sq Ft
or multiplier
Total Value of Project
Pase I of2
Description Type of Construction Value Date Calculated
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Valuation Description I
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2003-01042ISSUED: 1011412003APPLIEDz 1011412003
EXPIRESz 0411412004
VALUE:
Eees Pai
Fee Description
+ l0o/o Administrative Fee
+ 7oh State Surcharge
Sanitary Sewer - lst 50 Feet
Sanitary Sewer Each Addtl 100'
Total Amount Paid
Amount Paid
$5.90
$4.13
$45.00
$14.00
$69.03
Date Paid
t0n4t03
t0n4t03
t0lt4t03
t0n4t03
Receipt Number
1200200000000002311
1200200000000002311
1200200000000002311
12002000000000023r r
Plan Reviews
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I Sanitary Sewer Line: Prior to lilling trench and including required testing.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
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225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfielfl Official Receipt
Development Services Department
Public Works Department
Receipt #: 120020000000000231 I
COM2003-01042 Sanitary Sew€r - lst 50 Feet 45.00
COM2003-01042 Sanitary Sewer Each Addd 100' 14.00
COM2003-01042 + ?% State SurchErge 4.13
COM2003-01042 + l0% Administrative Fee 5.90
Item Total:$69.03
Date: 1011412003 10:45:19AM
Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid
Check AARDVARKEXCAVATION djb In Person
Payment Total:
s69.03
$69.03